期刊
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
卷 124, 期 1, 页码 6-11出版社
WILEY
DOI: 10.1016/j.ijgo.2013.06.037
关键词
Battered women; Caribbean region; Intimate partner violence; Latin America; Pregnancy; South America; Spousal abuse
资金
- Institute of Gender and Health
- Institute of Neurosciences, Mental Health and Addiction of the Canadian Institutes of Health Research
Background: Very high rates of intimate partner violence during pregnancy (IPV-P) are reported in Latin America and the Caribbean (LAC) but data on prevalence and obstetric-related outcomes are limited. Objectives: To conduct a literature review on risk factors, prevalence, and adverse obstetric-related outcomes of IPV-P in LAC. Search strategy: Systematic review of studies in MEDLINE (1946-2012) and LILACS (1982-2012), and hand searching of reference lists of included studies. Search terms were variations of partner abuse and pregnancy in LAC. Selection criteria: Studies were excluded if they did not include IPV-P prevalence or if the perpetrator was not an intimate partner. Data collection and analysis: Study quality was assessed via US Preventive Services Task Force criteria. Main results: In the 31 studies included, prevalence rates ranged from 3% to 44%. IPV-P was significantly associated with unintended pregnancies and adverse maternal (depression, pregnancy-related symptom distress, inadequate prenatal care, vaginal bleeding, spontaneous abortion, gestational weight gain, high maternal cortisol, hypertension, pre-eclampsia, STIs) and infant (prematurity, low birth weight, neonatal complications, stillbirth) outcomes (grade II-2 and 3 evidence). Conclusions: IPV-P is highly prevalent in LAC, with poor obstetric-related outcomes. Clinicians must identify women experiencing IPV-P and institute appropriate interventions and referrals to avoid its deleterious consequences. (C) 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
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